2011/2012 FEE GUIDE - Canadian Federation of Podiatric Medicine
2011/2012 FEE GUIDE - Canadian Federation of Podiatric Medicine
2011/2012 FEE GUIDE - Canadian Federation of Podiatric Medicine
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<strong>2011</strong>/<strong>2012</strong> <strong>FEE</strong> <strong>GUIDE</strong><br />
The attached recommended CFPM fee guide has been developed in order<br />
to establish a guideline for which Podiatrists and Chiropodists throughout<br />
Canada are able to bill a reasonable fee for services rendered; which is<br />
approved by a National <strong>Canadian</strong> <strong>Podiatric</strong> body.<br />
Fees are varied from a low to high range in order to allow practitioners to<br />
bill accordingly to their geographic/economic area.<br />
The CFPM encourages practitioners to distribute this fee guide to local<br />
employers; unions and insurance groups when billing discrepancies arise.<br />
This fee guide outlines common <strong>Podiatric</strong>/Chiropodial services; but does<br />
not encompass all treatment modalities provided by the <strong>Canadian</strong><br />
<strong>Podiatric</strong>/Chiropodial pr<strong>of</strong>ession.<br />
The CFPM encourages all practicing <strong>Canadian</strong> Podiatrists/Chiropodists<br />
to follow this National Fee Guide.<br />
<strong>Canadian</strong> <strong>Federation</strong> <strong>of</strong> <strong>Podiatric</strong> <strong>Medicine</strong><br />
200 King Street South Waterloo, ON N2J 1P9 Phone: 888-706-4444 Fax 519-888-9385 www.podiatryinfocanada.ca
<strong>2011</strong>/<strong>2012</strong> <strong>FEE</strong> <strong>GUIDE</strong><br />
OFFICE VISITS<br />
Code Description Fee<br />
T1 Initial Consultation & T/X $50.00 - $100.00<br />
T2 Return Consultation & T/X $30.00 - $75.00<br />
T3 Initial House Call & T/X $60.00 - $120.00<br />
T4 Return House Call & T/X $45.00 - $85.00<br />
T5 Initial Single Institutional T/X $50.00 - $100.00<br />
T6 Return Single Institutional T/X $35.00 - $65.00<br />
T7 Initial Multiple Institutional T/X $40.00 - $90.00<br />
T8 Return Multiple Institutional T/X $30.00 - $50.00<br />
T9 Orthopaedic Foot/Ankle Strapping $30.00 - $50.00<br />
T10 Therapeutic Foot Therapy/session $30.00 - $40.00<br />
T11 Injections/region (non-surgical) $25.00 - $40.00<br />
T12 Acupuncture / Session $40.00 - $75.00<br />
T13 Mycological Diagnostic Samples $15.00 - $30.00<br />
T14 Erki Brace $60.00 - $80.00<br />
* Note Multiple Institutional T/X Fees for 10 patients or more<br />
* Above Fees for basic T/X and do not include Surgical or Injection Techniques<br />
Session Fees<br />
Code Description Fees<br />
E1 Treatments, Education or Management $800.00 - $1,000.00/4 hrs<br />
Custom Orthoses & Biomechanical Fees<br />
$200.00 -$250.00/hour<br />
Code Description Fees<br />
C1 Biomechanical Assessment $80.00 - $200.00<br />
C2 Bilateral Subtalar neutral Foot Casting $90.00 - $150.00<br />
C3 Bilateral Slipper Foot Casting $90.00 - $150.00<br />
C4 Bilateral Bi-valve Foot Casting $100.00- $175.00<br />
C5 Ankle Foot Orthoses Casting (one leg) $150.00- $185.00<br />
C6 Bilateral Custom Shoe Casting $150.00- $185.00<br />
C7 Single Digit / Heel Cast $50.00 - $75.00<br />
O1 Custom Foot Orthoses (One pair) $325.00 - $600.00<br />
O2 Ankle/Foot Orthoses (Unilateral) $450.00 - $850.00
O3<br />
Orthotic Case Fee<br />
(Includes: Biomechanical Assessment + Casting + Orthotic)<br />
$495.00 - $950.00<br />
O4 Ankle/Foot Orthoses Case Fee (Unilateral) $620.00 - $1300.00<br />
O5 Stock Orthopaedic Footwear $150.00 - $400.00<br />
O6 Custom Orthopaedic Footwear Case Fee $1000.00- $2000.00<br />
O7 Orthodigital Device (Single) $40.00 - $200.00<br />
O8 Customized Insoles $75.00 - $250.00<br />
O9 Custom Orthoses Refurbishing or Recovering $75.00 - $150.00<br />
O10 Surgical Shoes $40.00 - $80.00<br />
Surgical Fees<br />
Code Description Fees<br />
Nail Surgery<br />
N1 Total Nail Avulsion (per toe) $150.00 - $300.00<br />
N2 Total Phenol Matricectomy (per toe) $250.00 - $400.00<br />
N3 Partial Nail Avulsion (per side) $150.00 - $250.00<br />
N4 Partial Phenol Matricectomy (per side) $150.00 - $350.00<br />
N5 Onychoplasty $280.00 - $425.00<br />
S<strong>of</strong>t Tissue<br />
S1<br />
Blunt Curettage (for porokeratosis & verruca)<br />
S1.a Single procedure $165.00 - $200.00<br />
S2.b Multiple procedure $250.00 - $500.00<br />
S3 Biopsy $185.00 - $200.00<br />
S4 Excision nevus, cyst, cicatrice $185.00 - $450.00<br />
S5 V/Y Plasty $350.00 - $400.00<br />
S6 Bursa Drainage $ 90.00 - $160.00<br />
S7 Webbing Syndactylism $400.00 - $550.00<br />
S8 Foreign Body Excision $75.00 - $160.00<br />
S9 Medial Foot/Instep Fasciotomy $400.00 - $650.00<br />
S10 Cryosurgical Procedure $30.00 - $ 75.00<br />
Tendon & Joint Surgery<br />
S11 Tenotomy $120.00 - $200.00<br />
S12 Tenotomy/Capsulotomy $350.00 - $460.00<br />
S13 Tenotomy/Capsulotomy for Overlying 5th toe $350.00 - $475.00<br />
S14 Tenoplasty (Tendon Lengthening) $300.00 - $400.00<br />
S15 Capsulotomy 2nd to 4th metatarso-phalangeal jnt $250.00 - $300.00<br />
S16 Capsulotomy 1st metatarso-phalangeal jnt $400.00 - $550.00<br />
Neuroma Surgery<br />
S17 Interdigital Neuroma $700.00 - $900.00<br />
S18 Calcaneal Neuroma $500.00 - $700.00
Endoscopic Surgery<br />
S19 Endoscopic Planter Fasciotomy $1500.00 - $2500.00<br />
X1<br />
X2<br />
X3<br />
X4<br />
Surgery includes anaesthetic procedure, dressings and follow treatments as required.<br />
Multiple procedures: 100% <strong>of</strong> 1st procedure<br />
80% <strong>of</strong> 2nd procedure<br />
60% <strong>of</strong> 3rd procedure<br />
40% <strong>of</strong> 4th procedure<br />
20% <strong>of</strong> 5th procedure<br />
Orthopaedic Footwear<br />
Modifications<br />
OF Replacement <strong>of</strong> existing soles with firmer soles or Modifications to Footwear<br />
OF.1 Full Sole $75.00/pr<br />
OF.2 Half Sole $45.00/pr<br />
OF.3 Heels $30.00/pr<br />
OF.4 Balloon Patches $95.00 each<br />
OF.5 Zipper $65.00 each<br />
OF.6 Velcro straps added to replace laces $70.00/pr<br />
OF.7 Heel lift $35.00/cm<br />
OF.8 Heel and sole lift $70.00/cm<br />
OF.9 Heel re-shaping by heat forming to cast $95.00<br />
OF.10 To box re-shaping by heat and stretching to cast $105.00<br />
OF.11 Rocker sole $95.00 each<br />
OF.12 Wedge/flare $50.00 - $125.00 each<br />
OF.13 Steel shank implant $85.00/pr<br />
OF.14 Guide insole removal $10.00/pr<br />
OF.15 Metatarsal bar $25.00 each<br />
OF.16 Thomas heel $65.00 each<br />
OF.17 Built in orthotic $115.00 - $425.00<br />
OF.18 Filler for toe amputations $65.00 - $115.00<br />
OF.19 Elastic laces $10.50/pr<br />
OF.20 Plastazote insoles $55.00/pr<br />
OF.21 Padding in heel counter $40.00/pr<br />
OF.22 Removable light insole (1 density) $45.00<br />
OF.23 Sach Heel $37.00 each<br />
OF.24 Toe filler $25.00 each<br />
OF.25 T/strap (for brace) $30.00 each<br />
OF.26 Metatarsal Pad $20.00 each<br />
OF.27 Tongue Pad $25.00 each<br />
Pr<strong>of</strong>essional Management Fees<br />
Code Description Fees<br />
M1 Consultation Letters/page $75.00 - $150.00<br />
M2 Travel time/hour $75.00 - $100.00<br />
M3 Insurance Forms $15.00 - $50.00<br />
M4 Telephone consultation / 15 minute $15.00 - $35.00<br />
M5 Seminars / Hour (not including travel) $90.00 - $200.00<br />
M7 Court Fee as Pr<strong>of</strong>essional witness / hour $125.00 - $200.00<br />
M8 Pr<strong>of</strong>essional preparation time as witness $175.00 - $350.00/hr<br />
M9 Accessible Parking Permit $30.00<br />
M10 Photocopying Patient File $10.00<br />
($10 base /after first 25 pages $0.25 per page thereafter)
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